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Conclusions
Depression is commonly hidden and coexists with physical conditions that are prioritised by both patients and GPs. Being invited to participate in a trial about depression seems to facilitate acceptance of symptoms, may reduce stigma and allow older people to disclose their feelings, name the problem, and access care. Older people value an opportunity to talk outside the GP consultation.
Although the results of the CASPER Plus randomised controlled trial are as yet unknown, the findings from this nested qualitative study suggest that a psychosocial intervention delivered by a case manager can provide a valuable resource, which fills a gap in the care of older people with depression. Behavioural Activation (BA) encourages increased activity and social contact which may improve physical health symptoms as well as mood; it can enable older people to 'move on' from depression, providing them with the tools to manage their symptoms.
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